Question 168 · LDEK · Trauma to permanent teeth

A 14-year-old patient comes to the dental surgery 45 minutes after the avulsion of tooth 11. The tooth is in foil wrappers. What is the correct treatment?

  1. A. replanting the tooth, splinting the teeth for 10-14 days, antibiotic administration, and later, regular monitoring of pulp vitality.
  2. B. replanting the tooth, splinting the teeth for 10-14 days, antibiotic administration, immediate root canal treatment before the removal of the splinting.
  3. C. replanting the tooth, splinting the teeth for 10-14 days, antibiotic administration, starting an apexification procedure after the removal of the splinting.
  4. D. root canal treatment of the avulsed tooth “outside mouth” before replantation.
  5. E. removal of damaged periodontal ligament tissues, immersing the tooth in a 2% sodium fluoride solution before replantation.
Hint

Consider the stage of root development at age 14 and whether the plastic wrap protected the PDL from drying; then decide what to do with the pulp.

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